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How long should it take my health plan to approve or disapprove a requested service (referral) from my primary care physician (PCP)?

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How long should it take my health plan to approve or disapprove a requested service (referral) from my primary care physician (PCP)?

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For initial determinations, the health plan should let you and your PCP know of their decision within 2 working days of obtaining all necessary information. To see exactly what Maine law says on this issue, see: Title 24-A M.R.S.A. ยง 4304 (2) or Bureau of Insurance Rule Chapter 850, Section 8(E).

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